Inspection on 14/03/07 for 34 and 36 Seagarth Lane

This inspection was carried out on 14th March 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

34 and 36 Seagarth Lane 07/02/06

34 and 36 Seagarth Lane 16/11/05

34 and 36 Seagarth Lane 03/03/05

34 and 36 Seagarth Lane 10/01/05

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 34/36 Seagarth Lane Shirley Southampton Hampshire SO16 6RL Lead Inspector Geoff Senior Unannounced Inspection 14th March 2007 09:15 34/36 Seagarth Lane DS0000012383.V332215.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 34/36 Seagarth Lane DS0000012383.V332215.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 34/36 Seagarth Lane DS0000012383.V332215.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 34/36 Seagarth Lane Address Shirley Southampton Hampshire SO16 6RL 023 8077 2847 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) www.new-support.org.uk New Support Options Limited Ms Mary Walsh Care Home 6 Category(ies) of Learning disability (6) registration, with number of places 34/36 Seagarth Lane DS0000012383.V332215.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Residents in the category LD are only to be admitted between the age of 18 to 60 years. 7th Feb 2006 Date of last inspection Brief Description of the Service: Seagarth Lane is registered as a Care Home for up to 6 adults with a learning disability. New Support Options Ltd is the Registered Provider and Ms. M. Walsh is the registered manager. The Home provides care and accommodation for adults with a learning disability and associated sensory and physical disabilities, some of whom may present challenging behaviours. The service is offered in an environment that respects individuality and promotes the development of service users’ potential and self-esteem. Service users are supported by a committed, well-trained and well-informed staff group. Seagarth Lane consists of two purpose built bungalows, which are interconnected. Each bungalow has three single bedrooms and run almost as two separate units. The home is situated close to local shops and services and has an accessible garden. One of the bungalows has a sensory room for service users in both bungalows to use The reported fee structure is £1288 per week. 34/36 Seagarth Lane DS0000012383.V332215.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection of Seagarth Lane included an unannounced visit to the home that was undertaken on 14/3/07. Time was spent talking with the Manager and with staff on duty. The opportunity to discuss with the service users, their experiences and opinions of the home was limited by their involvement in activities and their inclination and ability to communicate or not. Observations indicated that they were settled in the home, were comfortable in the company of staff and had plenty to do. Throughout the visit, the staff’s attention to the service users’ needs, their patient, friendly and respectful manner and their treatment of each service user as an individual were observed and noted. The premises were viewed and a range of records was inspected. The comments of family members, in phone conversations prior to the site visit were generally supportive of the service offered. The comments include: ‘The home listens to what we (parents) have to say.’ “It’s perfect – the sort of place I would like to live in” “The manager knows what she’s doing, it’s one of the best homes in the area.” ‘More than meets my son’s needs.” Family were invited to suggest any changes or improvements. None were suggested. Not all NMS were inspected at this visit. Unless noted, only the core standards were inspected in each outcome group. What the service does well: There is a well thought out range of activities available based on the individual needs of the service users. These include activities at home, trips out and attendance at education and social facilities. The staff work positively with the service users helping them to communicate their needs, develop skills and confidence and maintain their independence. Service users views and opinions are considered. 34/36 Seagarth Lane DS0000012383.V332215.R01.S.doc Version 5.2 Page 6 There is good leadership in the home and staff development opportunities to identify and follow further study/training. The home aims to be inclusive and enables service users to maintain appropriate links with families, friends and significant others What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. 34/36 Seagarth Lane DS0000012383.V332215.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 34/36 Seagarth Lane DS0000012383.V332215.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2. Quality in this outcome area is good, This judgement has been made using available evidence including a visit to this service. The statement of purpose and the service user guide are of a good standard. They provide service users and their representatives with information needed to make an informed decision about moving into the home. There is a system for pre admission and ongoing assessment of prospective service users to ensure mutual benefit and compatibility of the placement. EVIDENCE: The admission process for Seagarth Lane offers the prospective service user and the home, ample opportunity to obtain and assess information before deciding whether this is the right placement. Service user needs are fully assessed to ensure that the Home has the skills and experience to appropriately support the individual throughout the probation period and beyond. The Home has good working relationships with specialist services and offers its staff both training and supervision to help them support and communicate effectively with the service users. Prospective service users and their representatives are encouraged to visit, to meet and spend time with existing service users and staff. They may view the 34/36 Seagarth Lane DS0000012383.V332215.R01.S.doc Version 5.2 Page 9 accommodation and find out about the routine and lifestyle they could expect to experience at Seagarth Lane. Family members are encouraged to be fully involved in the decision making process. The placement must be mutually beneficial and compatible. If it doesn’t suit everyone concerned, including the current residents, it will not be offered. 34/36 Seagarth Lane DS0000012383.V332215.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9. Quality in this outcome area is excellent, This judgement has been made using available evidence including a visit to this service. There is a clear and consistent care planning process. Staff have a good understanding regarding residents’ rights to make decisions and to be consulted on matters affecting them. Risk assessments are undertaken and relate to care plans to enable service users to participate in chosen activities with staff support EVIDENCE: The home has developed well structured, informative and person centred client files. The support needs of each individual are clearly identified. This enables new and existing staff to better understand and effectively support the service users, and help them with working towards achieving goals. Day 34/36 Seagarth Lane DS0000012383.V332215.R01.S.doc Version 5.2 Page 11 records note the completion or otherwise of support tasks identified in care plans and may be easily cross-referenced. All care plans are regularly reviewed and team meetings are used to pool ideas and further develop the detail. Service user family members confirmed that they are invited to contribute to the planning process and feel that their views are positively considered and acted upon. Service users are helped to make decisions affecting their daily lives with regard to activities, outings, routines and food choices amongst other things. Risk assessments are undertaken and relate to care plans to enable service users to participate in chosen activities with staff support 34/36 Seagarth Lane DS0000012383.V332215.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service Users enjoy an active, fulfilling daily lifestyle that respects their rights. Service users may actively participate in the development of menus and choice of meals. Special dietary needs, variety and balance are considered. Family and friends are welcomed into the home and contacts with the community are maintained EVIDENCE: Staff in the home have worked positively with the service users to establish interests, likes and dislikes. The service users are supported to attend and enjoy a range of social, educational and therapeutic activities. If an activity is 34/36 Seagarth Lane DS0000012383.V332215.R01.S.doc Version 5.2 Page 13 identified as particularly attractive or potentially beneficial to an individual then every effort is made to achieve the goal. Most of the resident group have a fairly well established pattern of social/educational activity but this remains flexible in order to meet daily needs. Service Users are offered, and help to choose, an annual holiday. Visitors are encouraged and made to feel welcome at the home. Restrictions are placed only in accordance with the wishes of, and convenience to, the Service User. The staff keep in contact with families to update them on progress and changes. The Service User group is generally well established and the staff are aware of food likes, dislikes and preferences. Meals are provided mainly based on these wishes, but also taking into account the need for a reasonably balanced diet. 34/36 Seagarth Lane DS0000012383.V332215.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Healthcare needs are monitored and addressed. Appropriate medication systems and policies are in place. Service user’s privacy and dignity is respected EVIDENCE: Service users are treated with dignity and respect and appropriate levels of privacy are maintained. All of the service users require assistance with aspects of their personal care; the staff however are instructed and supervised to provide this thoughtfully and sensitively. The healthcare needs of the service users are monitored and addressed. The Home has developed positive relationships with the local health agencies and any issues are identified and acted upon with guidance from professionals. The medication records and storage are up to date and adequate for the needs of the home. Policies and procedures are in place and staff are offered training and are subject to regular competence assessments. 34/36 Seagarth Lane DS0000012383.V332215.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff and management have an awareness of issues relating to protection of vulnerable adults and have produced a written complaints procedure, which is also provided in a user-friendly format. Family members consider their relatives to be safe and supported in an open atmosphere. Staff have an understanding and are trained in the management of challenging behaviours. Recruitment procedures are designed to protect the vulnerable. EVIDENCE: There is a written complaints procedure, available to service users and families, contained within both the Statement of Purpose and the policies and procedures file. It explains how concerns may be raised re the standard of services and facilities provided and the homes response to any concern raised. Staff have an awareness of issues of abuse of vulnerable adults obtained on NVQ training and have been given the opportunity to undertake specific Adult Protection training. Service user families are aware of formal and informal avenues for expressing concerns and ideas and would be comfortable approaching the staff or providers. 34/36 Seagarth Lane DS0000012383.V332215.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The Home presents a well maintained, comfortable, welcoming and varied environment in which to live and work. EVIDENCE: Seagarth Lane is two, interconnecting, purpose- built bungalows designed to accommodate people with physical disabilities. The accommodation presents a comfortable, welcoming and varied environment in which to live and work. The home is well maintained and tastefully decorated throughout. All parts of the home are accessible. Service users bedrooms are decorated and personalised to the service users wishes and preferences. . 34/36 Seagarth Lane DS0000012383.V332215.R01.S.doc Version 5.2 Page 17 Each bungalow has its own bathroom and separate toilet. An adapted bath has been fitted in one of the bungalows to meet the assessed needs of one of the service users. The communal lounge has comfortable seating with widescreen television and DVD player. The patio doors in the lounge lead out to the garden, which is accessible and has a patio and lawn areas, pots and plants. The home has a range of specialist equipment to meet the needs of service users, which include, hoists, wheelchairs and adjustable beds. As noted earlier, plans are underway to develop a currently redundant part of the garden. It will be restyled into a sensory and fruit and vegetable growing area with raised beds and wheelchair access. 34/36 Seagarth Lane DS0000012383.V332215.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users at Seagarth are supported by a well trained and well informed staff team Recruitment procedures provide protection for the service users EVIDENCE: Seagarth Lane offers staff a good development programme. There is a comprehensive induction process that staff are supported to work through. Mandatory training is provided and staff receive updates, refresher and service specific courses as required. The Management is aware of the expectations of the standard regarding NVQ training. Currently 14 of the employees have attained NVQ at least to level 2. The staff team is generally well established. There is a general rota pattern that provides for at least 2 support workers on shift in each unit during the day with staff on call on the premises at night. A member of the management team or senior staff are always present or on call. 34/36 Seagarth Lane DS0000012383.V332215.R01.S.doc Version 5.2 Page 19 Staff members undertake catering, laundry and domestic duties as well as care support duties. The Management confirmed that staffing levels are increased at times of need to ensure that choice, opportunities for social and individual activities and the management of emergencies are not compromised. The management indicated a good awareness of the need to ensure adequate checks are made on all potential staff to determine suitability and protect the Service Users. Company recruitment/induction and probation procedures are in place. Staff files contain appropriate reference checks and all staff have current CRB checks. 34/36 Seagarth Lane DS0000012383.V332215.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. There are robust health and safety and quality assurance processes, ensuring that the home is run according to the best interests of the service users. The health, safety and welfare of all is promoted and protected. The home benefits from a well-trained and experienced management team with clearly defined roles and responsibilities. EVIDENCE: 34/36 Seagarth Lane DS0000012383.V332215.R01.S.doc Version 5.2 Page 21 Ms Walsh expressed a clear vision for the direction of the home and standards she wishes to attain and maintain. This has been communicated to staff who are aware of the expectations, duties and responsibilities of their role. The staff and service users benefit from what appears to be an open and inclusive management approach and have opportunity to express opinions at regular meetings. There are systems in place for regular health and safety checks and staff are offered relevant training. A comprehensive range of policies and guidelines promote safe and appropriate working practices. Ms. Walsh is in control of the home and in day-to-day contact as management and in a support worker role. There are formal and informal systems in place for quality assurance. Service user family comments confirmed their feelings of inclusion and of being valued for their opinions and contribution. 34/36 Seagarth Lane DS0000012383.V332215.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 x 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 3 33 X 34 4 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 x 4 X 3 X X 3 X 34/36 Seagarth Lane DS0000012383.V332215.R01.S.doc Version 5.2 Page 23 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 34/36 Seagarth Lane DS0000012383.V332215.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 34/36 Seagarth Lane DS0000012383.V332215.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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